Can A Vertical Lengthening Genioplasty Be Done After A Custom Chin Implant?

Q: Dr. Eppley, I have had a previous Custom Chin Implant that provided me with horizontal projection of my chin. However, I would like to have my chin augmented vertically with a sliding genioplasty. I am just curious if the chin implant would be needed to be removed in order for a sliding genioplasty to be performed in order to vertically lengthen my chin around 3mm.

A:Usually there is not problem with doing a bony genioplasty cut just above the chin implant and moving the chin either further forward or for vertical lengthening. But I would have to see images of the custom chin implant design to confirm that a vertical lengthening bony genioplasty can be done.

Dr. Barry Eppley

Indianapolis, Indiana